Individual
DR. TIFFANY K RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2290 10TH AVE N STE 101, LAKE WORTH, FL 33461-6609
(800) 991-6117
(888) 812-8191
Mailing address
3820 NORTHDALE BLVD STE 201, TAMPA, FL 33624-1893
(800) 991-6117
(888) 812-8191
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
25MA06942900
NJ
202K00000X
Phlebology Physician
ME179498
FL
207P00000X
Emergency Medicine Physician
25MA06942900
NJ
207P00000X
Emergency Medicine Physician
Primary
ME179498
FL
2085R0204X
Vascular & Interventional Radiology Physician
25MA06942900
NJ
208D00000X
General Practice Physician
Primary
25MA06942900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8418101
—
NJ
Enumeration date
09/12/2005
Last updated
05/08/2026
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